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Vital Signs
Systems serving low-income patients struggle under readmissions penalties
By Sabriya Rice | September 30, 2014
Hospitals with limited resources continue to struggle as they try to implement programs that drive down readmission rates, and federal penalties could potentially make matters worse, write the authors of a report published in the Joint Commission's Journal on Quality and Patient Safety.
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Vital Signs
Calls for repealing Obamacare will fade after this election cycle, pundits predict
By Paul Demko | September 30, 2014
This is the last election cycle in which Republicans will try to reap political advantage by promising to repeal Obamacare, agreed Dr. Avik Roy, a conservative healthcare policy expert, and Chris Jennings, who played a key role on healthcare issues in two Democratic administrations. The pair spoke...
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News
More critical-access hospital closings likely
By Michael Sandler | September 30, 2014 | Basic Web Basic Web Subscription Details
Amid ongoing federal scrutiny of the extra funding paid small hospitals to serve remote areas, the number of critical-access hospitals in the U.S. continued to fall over the past year, according to Modern Healthcare magazine's annual review of CMS data published in this week's By the Numbers list.
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News
Reform Update: Doc groups concerned over looming Medicare penalties tied to quality reporting
By Andis Robeznieks | September 29, 2014 | Basic Web Basic Web Subscription Details
Medicare will begin docking physicians' pay next year if they decline to report on quality measures under the voluntary Physician Quality Reporting System launched in 2007. Providers, however, remain confused and frustrated by its framework.
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News
RACs recouped $3B for Medicare in 2013
By Bob Herman | September 29, 2014 | Basic Web Basic Web Subscription Details
Medicare's recovery auditors returned more than $3 billion into the program's coffers last year, a new government report shows. And providers that appealed those audits won less than 1 in 5 tries. While the RAC trade group cheered the report, it isn't quelling provider criticism of the RAC program.
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Magazine
Spotlight to shine on physician payments
By Jaimy Lee | September 27, 2014 | Print Magazine Print Magazine Subscription Details
While the Sunshine Act was intended to help patients understand potential conflicts of interest in their care, some stakeholders fear the data may be used by government investigators and insurers tracking doctors' prescribing, surgical and other practice patterns.
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Magazine
Stars, drugs, elections and rate cuts will top insurers' agenda
By Paul Demko | September 27, 2014 | Print Magazine Print Magazine Subscription Details
On the eve of the 2015 open enrollment period for Medicare beneficiaries, insurance leaders will gather in Washington to discuss public healthcare programs.
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Magazine
Holder leaves legacy of tough healthcare fraud enforcement
By Bob Herman | September 27, 2014 | Print Magazine Print Magazine Subscription Details
The six-year tenure of departing U.S. Attorney General Eric Holder will be remembered by healthcare groups as a time of aggressive measures to combat healthcare fraud and abuse.
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Magazine
New, tougher Medicare readmission penalties take effect Oct. 1
By Jaimy Lee | September 27, 2014 | Print Magazine Print Magazine Subscription Details
Hospitals face new financial penalties this week if they fail to prevent avoidable readmissions among Medicare patients.
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Magazine
More Medicare Pioneer ACOs head for hills
By Melanie Evans | September 27, 2014 | Print Magazine Print Magazine Subscription Details
Three more accountable care organizations have dropped out of the Medicare Pioneer demonstration, suggesting that even more sophisticated health systems may be unwilling to take losses as part of testing new payment and delivery models in Medicare.
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